Adoption Application

What is the name of the dog you are interested in?

First Name *

Last Name *

Address *

City *

State *

Zip *

County

Home Phone *

Cell Phone

Email *

You must be at least 21 years of age to adopt from us. What is your date of birth? (please enter the full year) *

Do you have plans to move in the near future?

Proper dog care requires good quality food, regular vet visits, exercise, training, monthly heartworm/flea preventative, love, snuggles and a commitment to the dog for his/her lifetime. Do you feel you are willing and financially able to provide this for one of our dogs?

Occupation/Employer

Please list the NAMES and AGES of all those living in the house: *

Please indicate the activity level of your family. Low, Medium or High

Do you own or rent?

If renting, please list landlord/association/management group/contact name/phone number

Do you have a fenced yard? Yes/No/Partial *

If so, what type of fence and how high is the fence?

If no fence, how do you plan to take the dog outside for exercise and to go to the bathroom? (ex. tie-out, walks, leash in yard)

Are there pets currently living in the home? *

If yes, please list name, age, breed of each pet:

Are current pets spayed or neutered?

Please list any pets that you have had in the past five years that no longer live in your home and why they are no longer in your home.

VET NAME & PHONE NUMBER: We will call your vet to verify previous vet care. Please call your vet and make sure they know you give us permission to request care information.

For Vet Check - Whose name is the animal listed under?

Where did you first learn about this dog?

What is the reason for wanting to adopt this dog? *

Will this dog be kept inside or outside?

How many hours a day will the dog be home alone? What are you plans for the dog during this time? *

What are your plans for this dog when you have to travel? *

A dog CANNOT be expected to behave unless they have training to learn how to be a good citizen in your home. They also NEED socialization with lots of other dogs, people, cats, etc to learn to be comfortable in new situations. What are your plans for training and socializing this dog? This is a crucial part of responsible dog ownership! *

I am willing and able to pay for training for this dog. *

If you do not have a specific dog you are interested in, what type of dog are you hoping to adopt?

Anything else you feel we should know about you or your family?